| NPI | 1740421783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: GA 71953) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2012-01026) |
| 207R00000X Internal Medicine (Licence: GA 71953) | |
| Enumeration Date | 2009-03-22 |
| Last Update Date | 2015-03-10 |